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Radical hysterectomy: complete removal of the uterus, cervix, upper vagina, and parametrium. Indicated for cancer. Lymph nodes, ovaries, and fallopian tubes are also usually removed in this situation, such as in Wertheim's hysterectomy. [61] Total hysterectomy: complete removal of the uterus and cervix, with or without oophorectomy.
A hysterectomy is a fairly common surgical procedure wherein the uterus is removed. According to the Centers for Disease Prevention and Control (CDC), 14.6% of women aged 18 years or older had ...
The first radical hysterectomy operation was described by John G. Clark, resident gynecologist under Howard Kelly at the Johns Hopkins Hospital in 1895. [2] [3] In 1898, Ernst Wertheim, a Viennese physician, developed the radical total hysterectomy with removal of the pelvic lymph nodes and the parametrium. In 1905, he reported the outcomes of ...
The standard care of treatment is total abdominal hysterectomy with bilateral salpingo-oophorectomy. Lymphadenectomy is usually not performed as the incidence of lymph node metastasis is rare. There is no standardized chemotherapy, hormone therapy, or radiation therapy.
total abdominal hysterectomy: TAH-BSO: total abdominal hysterectomy with bilateral salpingo-oophorectomy: TAP: trypsinogen activation peptide TAPVR: total anomalous pulmonary venous return TAT: thematic apperception test TAVI: transcatheter aortic valve implantation: TAVR: transcatheter aortic valve replacement: TB: tuberculosis: TBC ...
If a BSO is combined with an abdominal hysterectomy (there are different methods of hysterectomy available), the procedure is commonly called a TAH-BSO: total abdominal hysterectomy with a bilateral salpingo-oophorectomy. Sexual intercourse remains possible after salpingectomy, surgical and radiological cancer treatments, and chemotherapy.
Surgery is the mainstay of therapy if feasible involving total abdominal hysterectomy with bilateral salpingo-oophorectomy. Other approaches include radiation therapy, chemotherapy, and hormonal therapy. Prognosis is relatively poor. [6]
In some cases total abdominal hysterectomy will be performed, in other cases where the patient intends to bear children a salpingo-oophorectomy is performed instead. Typical chemotherapy is six cycles of intraperitoneally-delivered platinum-base adjuvant chemotherapy with agents such as carboplatin . [ 39 ]